Laboratoire de Psychologie des Pays de la Loire (EA 4638), Université de Nantes, Nantes, France.
Unité de Gériatrie, Centre Hospitalier de Tourcoing, Tourcoing, France.
J Alzheimers Dis. 2019;70(4):1217-1224. doi: 10.3233/JAD-190440.
We investigated, for the first time, how people with mild Alzheimer's disease (AD) reflect on continuity of their self (i.e., whether they are the same person they were before). We invited people with mild AD and control participants to conduct The Thinking about Life Experiences (TALE) Scale. More specifically, we invited participants to indicate whether they think about their life story: when they want to feel that they are the same person that they were before (Item 1), when they are concerned about whether they are still the same type of person that they were earlier (Item 2), when they are concerned about whether their values have changed over time (Item 3), when they are concerned about whether their beliefs have changed over time (Item 4), and when they want to understand how they have changed from who they were before (Item 5). The scores of people with AD and control participants on the items of the TALE scale were similar, except for the first item on which people with AD provided higher scores than did control participants. As demonstrated by scores on Item 1, people with mild AD can retrieve autobiographical memories to reflect on situations in which they want to feel that they are the same person that they were before. In other words, people with mild AD can draw on their personal and meaningful events to maintain a continuous sense of self or even to reflect on situations in which they are concerned about their self-continuity.
我们首次研究了轻度阿尔茨海默病（AD）患者如何反思自我的连续性（即他们是否与以前的自己是同一个人）。我们邀请了轻度 AD 患者和对照组参与者进行“思考生活经历”（TALE）量表的测试。更具体地说，我们邀请参与者指出他们是否会思考自己的人生故事：当他们想要感觉到自己与以前的自己是同一个人时（项目 1），当他们关心自己是否仍然是以前的那种人时（项目 2），当他们关心自己的价值观是否随着时间的推移而改变时（项目 3），当他们关心自己的信仰是否随着时间的推移而改变时（项目 4），以及当他们想要了解自己从以前的自己身上发生了怎样的变化时（项目 5）。AD 患者和对照组参与者在 TALE 量表项目上的得分相似，除了 AD 患者在第一项上的得分高于对照组参与者。如项目 1 的得分所示，轻度 AD 患者可以检索自传体记忆来反思他们想要感觉到自己与以前的自己是同一个人的情况。换句话说，轻度 AD 患者可以利用自己的个人和有意义的事件来维持自我的连续性，甚至可以反思他们对自我连续性的关注的情况。
